Acupuncture for alcohol use disorder: Research status and potential strategies to improve therapeutic efficacy

IF 3.7 2区 医学 Q1 PSYCHIATRY
Han Gao , Yixuan Jin , Guan-Hua Lv , Rongwei Huang
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引用次数: 0

Abstract

Alcohol use disorder (AUD) is a prevalent, chronic relapsing substance use disorder, with its prevalence increasing worldwide, along with socioeconomic development. Given the limitations of conventional AUD treatments, including the variable efficacy of pharmacotherapy and implementation challenges of some psychotherapy methods, researchers have increasingly investigated acupuncture as a potential adjunctive therapy. Acupuncture is a traditional complementary therapy that has shown potential in managing mental and behavioral disorders. While its cost-effectiveness and accessibility vary across healthcare systems, preliminary evidence suggests adjunctive benefits for AUD. Through modulation of the dopaminergic and opioid systems and the hypothalamic–pituitary–adrenal axis, acupuncture may reduce alcohol consumption and cravings, thereby facilitating AUD management and alleviating associated mental health issues such as anxiety, depression, and insomnia. This review investigated and stratified commonly used acupoints in preclinical and clinical studies, offering recommendations for enhanced application and investigation of acupuncture treatment for AUD. The paucity of research in this domain warrants further exploration through well-structured research initiatives.

Abstract Image

针刺治疗酒精使用障碍:研究现状及提高疗效的潜在策略
酒精使用障碍(AUD)是一种普遍存在的慢性复发性物质使用障碍,随着社会经济的发展,其患病率在全球范围内不断上升。鉴于传统AUD治疗的局限性,包括药物治疗的疗效不一和一些心理治疗方法的实施挑战,研究人员越来越多地研究针灸作为一种潜在的辅助治疗。针灸是一种传统的补充疗法,在治疗精神和行为障碍方面显示出潜力。虽然其成本效益和可及性因医疗保健系统而异,但初步证据表明澳元的辅助益处。通过调节多巴胺能和阿片系统以及下丘脑-垂体-肾上腺轴,针灸可以减少酒精的消耗和渴望,从而促进AUD的管理,缓解相关的心理健康问题,如焦虑、抑郁和失眠。本综述对临床前和临床研究中常用的穴位进行了调查和分层,为加强针灸治疗AUD的应用和研究提供建议。这一领域的研究缺乏,需要通过结构良好的研究计划进行进一步的探索。
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来源期刊
General hospital psychiatry
General hospital psychiatry 医学-精神病学
CiteScore
9.60
自引率
2.90%
发文量
125
审稿时长
20 days
期刊介绍: General Hospital Psychiatry explores the many linkages among psychiatry, medicine, and primary care. In emphasizing a biopsychosocial approach to illness and health, the journal provides a forum for professionals with clinical, academic, and research interests in psychiatry''s role in the mainstream of medicine.
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